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At least 199 records · Page 11Linked to original sources
PubMed1981

Progress in tubal surgery.

There is now established proof of the value of microscopic compared with conventional techniques in tubal surgery, to enable not only accurate anastomosis but also accurate dissection of adhesions to restore normal mobility and relations between tubes and ovaries. Microscopy has also highlighted the important need for adjunctive techniques such as wide exposure, careful handling of organs and peritoneum, low-power diathermy, the use of nonreactive suture material and proper peritoneal closure. All these techniques can and should always be used, not only in tubal reconstructive surgery but in all female pelvic surgery to protect the woman's future fertility. Use of the surgical microscope and details of the various tubal operations, including those for ectopic pregnancy and reversal of sterilization, have been described, together with an outline of research into future developments.

Adult↗
PubMed1981

[Prognosis of surgical therapy to cope with tubal sterility (author's transl)].

Relative surgical success in the context of tubal occlusion was found to depend on the presence of ovarian fimbriae as well as on retained good functionality of the mucous membrane of the tube and the entire tubal wall. The results obtained from two different types of operations must not be mixed up. Surgical action does not seem to be indicated on a sactosalpinx with no mucous membrane. Surgical techniques and postoperative attention were found to be of minor relevance to therapeutic success.

Fallopian Tube Diseases↗
PubMed1980

Tubal patency following "uchida" tubal ligation.

Three cases of tubal patency following Uchida-type tubal ligation were identified. A histopathologic study of the excised segments in question revealed incomplete transecton of the tube. Modification of the Uchida procedure by attempting to remove a small segment of tube led to simple unroofing of the fallopian tube. This procedural defect was suspected by the presence of incomplete lumens in the tubal segments initially submitted to pathology. The author stresses the importance of proper exchange of information between the surgeon and pathologist to avoid tubal ligation failures that could be identified and otherwise prevented.

Adult↗
PubMed1995

Noncanalization of the fallopian tube. A case report.

Anomalous development of the fallopian tubes is an uncommon occurrence, and only a few types of structural changes have been described. A woman with a unicornuate uterus and noncanalized contralateral fallopian tube with absence of the proximal segment is described. This condition has not been reported previously.

Abnormalities, Multiple↗
PubMed1993

[Results of microsurgical treatment of non-patency involving the isthmo-intraparietal parts of oviducts in infertile women].

In years of 1984-1992 isthmic and cornual anastomosis oviducts due to their non-patency were performed in 138 woman at the Clinic of Gynaecology--OGI-PMA in Szczecin. Of the mentioned numbered of women the study covered 45 patients having been operating on, during the period from 1.07.1984 to 31.12.1992 and those full data could be collected only for the time-span of one year that followed the operation. In 41 of them cornual and in 4 isthmic anastomoses were accomplished. The operative procedures were carried out by means of magnifying glass and operative microscope. Following the excision of the non-patent part of oviduct, a splinting fibre was introduced into its lumen, whereupon end-to-end anastomosis was formed by employing PDS 7/0-8/0 sutures. Peritoneum at the site of oviductal anastomosis was stitched together with PDS 6/0 sutures. The splinting fibre remained in place till 4-6 days, after the operation. Apart from anastomosis reconstructive operations on abdominal openings of oviducts were also performed in 15 cases, and intraperitoneal adhesions of various intensity degrees were removed in 41 patients. Dextran 70, prometazine and dexamethasone were used in prophylaxis of postoperative adhesions. In 75% cases HSG examination revealed the patency of oviduct in proximal segment, while in the distal segment only in 11 patients operated on. During the period of one year after the operative procedure 14 woman became pregnant.

Anastomosis, Surgical↗
PubMed1993

[Evaluation of valvular mechanisms in uterine openings using endoscopic methods].

Endoscopic examination was made in 20 sterile women. Particular attention was drawn to the mechanism of uterine openings of the oviductus, viewed by hysteroscopy. Clinical condition end the flux of contrast via abdominal part of oviductus evaluated using laparoscopic technique. The hysteroscopic picture of valvular mechanisms is reliable element for evaluation of potency of oviductus. Combined laparoscopy and hysteroscopy brings a lot of information concerning the structure and function of oviductus.

Fallopian Tube Patency Tests↗
PubMed1993

[Selective salpingography and tubal cannulation through hysteroscopy].

In this paper the procedure of selective salpingography and tubal cannulation through hysteroscopy for diagnosis and treatment of fallopian tube obstruction at the interstitial portion was introduced. We combined hysteroscopic tubal cannulation with selective salpingography under fluoroscopic quidance in 28 infertile women with 49 obstructed interstitial portion of fallopian tubes diagnosed previously. After the procedures 27 tubes (55.1%) became patent in 16 cases. In 16 women with patent tubes followed up over 6 months after the procedures 5 intrauterine pregnancies occurred. This procedure is a safe and simple diagnostic method to identify fallopian tube obstruction at the interstitial portion and may alos serve as a therapeutic approach in some of these patients.

Adult↗
PubMed1995

[The value of hysterosalpingoscintigraphy in examining the patency and activity of oviducts].

As many as 15 patients have been examinedby hysterosalpingoscintigraphy by administration of albumin macroaggregates labelled with Te99m (HAMA) into posterior vaginal fornix and external orifice of uterine cervix. Gamma camera was used to observe the transportation of molecules through the cervical canal, uterine cavity as well as oviducts to peritoneal cavity. The results were compared with HSG examination and salpingochromotubation. is 93%. Hysterosalpingoscintigraphy allows us to estimate both the anatomical patients after reconstructive operations involving oviducts.

Adult↗